Applicant Details

16-Sep-2024 || 08:05:52

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Date of Application:	2024-05-24 01:00:34	Application Status:	Admitted
Applicant ID: Admission No.:	OLAGSHS20246315123	Applicant Image:
Program Choice:	General Science || Science 2

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BIODATA INFORMATION

Surname:	Dziewornu	Address:	Ancilla Catholic School Wa, P.O. box 404
First Name:	Blaise	Place of Birth:	Bolgatanga
Other Name:	Elorm	Religious Denomination:	CHRISTIAN
Gender:	Male	Circuit/Parish:	ST CELICILA PARISH
Date of Birth:	2008-12-06	Last School:	Ancilla school
Nationality:	Ghanaian	BECE Index No.:	0001144046

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PARENT INFORMATION

Full Name (Father):	Lambert Selorm Agbedor	Full Name (Mother):	Amisore Gloria
Relationship:	Father	Relationship:	Mother
Telephone:	0202858100	Telephone:	02028858100
Nationality:	Ghana	Nationality:	Ghana
Contact Address:	c/o Amisore Gloria Abuakwa South Municipal Health Directorate, P.O. box KY12, Kibi, Eastern Region.	Contact Address:	Abuakwa South Municipal Health District, P.O. box KY12, Kibi, Eastern Region.
Email:	1048553978@qq.com	Email:	winimi2013@gmail.com
Occupation:	Businessman	Occupation:	Public Health Officer
Institution:		Institution:
Denomination:	Christian	Denomination:	Christian

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GUARDIAN INFORMATION

Full Name (Guardian):	Lambert Selorm Agbedor	Nationality:	Ghana
Relationship:	Father	Contact Address:	c/o Amisore Gloria Abuakwa South Municipal Health Directorate, P.O. box KY12, Kibi, Eastern Region.
Telephone:	0202858100	Occupation:	Businessman
Email Address:	1048553978@qq.com	Institution:
Denomination:	Christian

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CERTIFICATE ATTACHEMENT

No File Attached